THE SINGAPORE SCOUT ASSOCIATION Paste Photo In

Scout Uniform
INTERNATIONAL SCOUT EVENTS APPLICATION FORM Here

FORM INT-01 : For Cadet Scouts, Scouts, Venture Scouts & Rover Scouts
INSTRUCTIONS : Fill in the form neatly. All details must be given whenever applicable. The Sponsoring Authority, Unit Leader ,
District Commissioner and a Parent must endorse the application. If subsidy is required from the AREA, this form must be
endorsed by the AREA COMMISSIONER, through the District Commissioner. The application form must be submitted together with
the deposit before the closing date.

NOTE : If the above instructions are not fully followed, your application will be rejected.

EVENT :
Ref. No.

DATES :
VENUE :

[A] PERSONAL PARTICULARS

Name in Block Letters (according to NRIC /

NRIC / Passport No : Passport Expiry Date : Date of Birth :

Nationality : Religion : Sex :

Parent's / Guardian's Parent's Contact No :

Residential Address :

Tel: Pager HP

E-Mail Address :

Name of School / College / University /

Address :

Tel : Fax No :

Class (if in School / College / University) : Occupation :

[B] MEMBERSHIP RECORD

SECTION NAME OF UNIT FROM To HIGHEST ACHIEVEMENT

Cadet Scout

Scout

Venture Scout

Rover Scout

[C] SCOUT TRAINING & ACHIEVEMENT (courses attended, badges awarded, etc)

SECTION COURSES ATTENDED BADGES AWARDED OTHERS

[D] INTERNATIONAL OVERSEAS SCOUT EVENTS PARTICIPATION

SECTION OVERSEAS EVENTS DATES
[E] LOCAL SCOUT EVENTS PARTICIPATION (DISTRICT / AREA / NATIONAL LEVEL)

EVENTS LEVEL YEAR

Applicant's Name Applicant's Signature Date

[F] RECOMMENDATIONS

The above-named applicant is recommended to participate in the INTERNATIONAL SCOUT EVENT.

Name of Scout Leader Signature of Scout Leader Date

Name of Sponsoring Authority Signature of Sponsoring Authority Date

Name of District Commissioner Signature of District Commissioner Date

[G] AREA SUBSIDY (Authorised by AREA COMMISSIONER)

The above-named applicant, of

Unit is approved for a subsidy for a subsidy of $ from AREA FUNDS.

Name of AREA Commissioner Signature of AREA Commissioner Date

[H] PARENTAL CONSENT & AGREEMENT

I, (NRIC / PASSPORT NO.) has applied.

(a) I allow my son to participate in the International Overseas Scout Event and all the meetings and practices in preparation for the

(b) I will not hold the Contingent Leader, the Assistant Leaders, The Singapore Scout Association or the Organisers for the event,

(c) I agree to pay a non-refundable deposit of $ ______________, if my son should withdraw before the departure for the event. If the

Name of Parent Signature

For Official Use Only

Event Fee : Non-Refundable Deposit : Balance :

Amount Received : Cheque : Receipt No :